A PRIVATE APPLICATION

The Remembrance Regression

This application is the first step in exploring whether The Remembrance Regression™ is the right experience for you.

Share what feels true and relevant for you now. I read every application personally. If I believe the experience could be appropriate for what you are seeking, your next step will be a complimentary 30-minute Soul Exploration Session where we can connect, talk about what brings you to regression and determine together whether to move forward.

What you share here will be treated with care and privacy.

Before You Begin

This application is part of the discernment process, rather than a commitment to proceed. Some questions are intentionally personal because they help me understand what is calling you toward this experience and whether regression may be appropriate for you.

For the longer questions, you may want to write your answers somewhere else first and paste them in so a tech hiccup never costs you your words.

The Remembrance Regression™ is a spiritual exploration and personal-development experience. It is not social work, psychotherapy, counselling, medical treatment or mental-health care, and participation does not establish a social worker-client, therapist-client or healthcare-provider relationship.

Your Application

Please take your time. You are welcome to share only what feels relevant, while answering all required questions as fully as you can.

Name

What is calling you toward The Remembrance Regression at this time?

Is there anything else you would like me to know about you, your intentions, or what is bringing you here?

Phone Number

City

Country

Date of Birth

If your Higher Self could answer one question for you, what would you ask?

If this journey offered you one gift, what would you hope it might be?

Which of these have you experienced before?

If you have experience with any of the practices above, what was the experience like for you?

What helps you feel safe enough to relax and enter deeper inner exploration?

Is there anything you're hoping, or expecting, to experience?

Please select anything you currently experience or have a history of.

If you selected a wellbeing consideration above, please share anything you feel would be important for me to know.

Have you ever experienced something distressing during hypnosis, meditation, psychedelics, or another altered state?

Yes

If yes, please tell me a little about what happened.

Are any of the following currently true for you?

If you selected anything above, please share anything you feel would be important for me to know.

I understand that The Remembrance Regression is offered for personal and spiritual exploration and is not a substitute for medical, psychological, psychiatric, or other licensed professional care.

I understand that every experience is unique and that no particular experience, memory, insight, or outcome can be guaranteed.

I understand that submitting this application does not guarantee that The Remembrance Regression will be appropriate for me or that Michele and I will choose to proceed.

I am willing to approach this experience with openness, curiosity, honesty, personal discernment, and responsibility for my own wellbeing.

A separate Client Consent & Service Agreement will be provided before The Remembrance Regression takes place. Your application is kept private and used only to review suitability for this experience and communicate with you. Please see our Privacy Policy for details.

Remember Who You Are

Reclaim What Is True · Become Who You Came Here To Be

The Remembrance Regression

Before You Begin

Your Application

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